Robert E Peevy in Shawnee - Physician Assistant
Robert E Peevy - NPI 1114925245
Robert E Peevy is a Physician Assistant in Shawnee, Oklahoma. Robert E Peevy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert E Peevy is 1114925245. The last update date is 2021-06-21.
Robert E Peevy's current location address is 2029 Gordon Cooper Dr, Shawnee, Oklahoma. You can contact this provider via phone number 4058785850. The mailing address for Robert E Peevy is 2029 Gordon Cooper Dr, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert E Peevy |
|---|---|
| Address | 2029 Gordon Cooper Dr, Shawnee, Oklahoma |
| Phone Number | 4058785850 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1114925245 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2021-06-21 |
Provider Mailing Address Detail
| Address | 2029 Gordon Cooper Dr |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 7480190050 |
| Phone Number | 4058785850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1143 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00731972 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is Robert E Peevy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert E Peevy is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Robert E Peevy receive its 1114925245 assignment from the Centers for Medicare & Medicaid Services?
The Robert E Peevy was assigned its 1114925245 on 2005-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1114925245 to Robert E Peevy?
The Centers for Medicare & Medicaid Services assigned the 1114925245 to Robert E Peevy on 2005-07-12.
When was the information related to Robert E Peevy most recently updated or refreshed?
The details pertaining to the Robert E Peevy, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-21.
As of what date was the information regarding Robert E Peevy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert E Peevy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-21.